CAROL BAGLEY AMON, District Judge.
On December 9, 2011, plaintiff Maurice Maynard filed this pro se action against the Social Security Administration ("SSA" or "the agency") regarding Supplemental Security Income ("SSI") payments. The Court granted Plaintiff's request to proceed in forma pauperis by Order dated December 22, 2011 and directed both parties to show cause as to whether the complaint should be dismissed for failure to exhaust administrative remedies. The Court has received submissions from both parties. Having reviewed the submissions, the Court finds that plaintiff has not exhausted his remedies under the Social Security Act, and thus the complaint is dismissed without prejudice.
Although it is difficult to comprehend Plaintiff's initial hand-written Complaint and additional submissions, it appears that Plaintiff seeks the retroactive payment to him of SSI payments from November 1, 2006 to January 1, 2011. (Complaint ("Compl.") at 1.) The Court's December 22, 2011 Order directed both plaintiff and defendant to show cause as to whether the complaint should be dismissed for failure to exhaust administrative remedies. Plaintiff submitted responses dated January 12, 2012, January 24, 2012, and May 2, 2012, along with an undated letter that was received on March 2, 2012. The United States Attorney's Office appeared on behalf of defendant and submitted a response on February 10, 2012, accompanied by a Declaration of Deputy Assistant Regional Commissioner Bryant Wilder and exhibits from plaintiff's SSA record.
The SSI program provides for financial assistance to disabled individuals who meet specific resource and income levels.
Plaintiff filed a new application for benefits on August 2, 2007 (effective date July 6, 2007), which was denied on December 5, 2007, because plaintiff did not take the required medical examination. (Wilder Decl. ¶¶ 4-5, Exs. 2, 4.) On June 26, 2008 (effective date March 25, 2008), plaintiff's sister Launa Maynard filed a new application on plaintiff's behalf and asked to be named plaintiff's representative payee. (Wilder Decl. ¶ 6, Ex. 5.) According to the application, plaintiff was living at an institution at the time the application was filed. (Wilder Decl., Exs. 5, 7.) On July 1, 2008, plaintiff requested a hearing before an Administrative Law Judge on the August 2, 2007 application which he had filed himself. (Wilder Decl. ¶ 7, Ex. 8.) On September 16, 2008, the SSA granted benefits on the basis of the March 25, 2008 application filed by plaintiff's sister, with an eligibility date of March 29, 2008. (Wilder Decl. ¶ 8, Exs. 9, 10.) The benefit amount was limited on the basis of plaintiff's residence in an institution. (
On January 19, 2011, plaintiff filed a new application for SSI. (Wilder Decl. ¶ 12; Ex. 14.) The application indicated that plaintiff was again living in an institution, but that he expected that situation to change. (
Plaintiff attached the September 12, 2011 and September 29, 2011 letters to his complaint. (Compl., Exs. 1, 2.) He did not allege that he appeared at any of the appointments or made any attempt to appeal the recent determinations of his eligibility or the suspension of his benefits. His complaint asks this Court to award past SSI benefits for the entire period from November 1, 2006 to January 1, 2011, and requests "a bench or jury trial ruling allowing SSI payments to continue during hospital visits." (Compl. at 1.) The complaint also refers to an earlier case in this Court,
In two supplemental submissions dated January 12, 2012 and January 24, 2012, plaintiff alleges that his sister called 9-1-1 and caused him to be taken involuntarily to Woodhull Medical Center. (Jan. 12, 2012 submission at 2; Jan. 18, 2012 submission at 2.) He further alleges that she forced him to sign a payee application form under duress when he needed her in order to get discharged from Woodhull Hospital. (
Plaintiff's May 2, 2012 submission contains an illegible cover sheet and an April 25, 2012 letter from the SSA stating that plaintiff is "eligible for [SSI] payments effective November 2011" since he furnished the SSA with the information previously requested. (May 2, 2012 submission at 2.) The SSA notice informs plaintiff that he will receive back payments of $2898.04 for the period November 2011 through April 2012, which will be paid in installments, and will also receive continuing SSI disbursements into the future. (
The Social Security Act includes provision for federal court review of final decisions of the Commissioner of Social Security regarding determinations of an individual's eligibility for disability benefits, as codified in 42 U.S.C. § 405(g) and § 1383(c)(3). An applicant must exhaust the remedies available through the agency before filing suit in federal court.
In this case, plaintiff has not exhausted the administrative review process. It appears that on three occasions the SSA has suspended his benefits, effective November 1, 2006, February 1, 2010, and November 1, 2011. Each time, plaintiff was notified of his right to appeal. There is no indication in the record that plaintiff made any effort to appeal these decisions through the agency process—although plaintiff's May 2, 2012 submission indicates that the November 2011 suspension was eventually resolved in his favor. In any event, because plaintiff did not appeal any of the SSA determinations related to his benefits, there is no "final decision" made after a hearing, as required for judicial review under 42 U.S.C. § 405(g). Given that this is a simple dispute over benefit payments, there is no basis to waive the exhaustion requirement, and the complaint must be dismissed.
Plaintiff's recourse, should he want to receive SSI benefits, is to file a request for reconsideration with the SSA. 20 C.F.R. §§ 416.1336(b), 416.1404. Although his request may now be untimely, he may still be able to request an extension of time to file his request, or show good cause for failing to file his request on time. 20 C.F.R. §§ 416.1409, 416.1411. He may also request to reopen his case for any reason within one year of the initial determination, or after an even longer period under certain circumstances. 20 C.F.R. §§ 416.1487-1489.
There is no other basis for the Court's jurisdiction over plaintiff's request for $5 million in punitive damages. The Social Security Act limits claims arising under the Act to 42 U.S.C. § 405(g). The Act does not confer a private cause of action against the agency for money damages.
For the foregoing reasons, the Court finds that plaintiff has not exhausted his remedies within the Social Security Administration, and his complaint seeking review of his SSI payments must be dismissed without prejudice to refiling if the Commissioner renders a final decision adverse to plaintiff. The Court certifies pursuant to 28 U.S.C. §1915(a)(3) that any appeal from this order would not be taken in good faith and therefore in forma pauperis status is denied for purpose of an appeal. Coppedge v. United States, 369 U.S. 438, 444-45 (1962).
SO ORDERED.